Organization
WELCH DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN R. WELCH DDS (SECRETARY)
(423) 886-3649
Entity
Organization
Contact information
Practice address
1408 JAMES BLVD, SIGNAL MOUNTAIN, TN 37377-2630
(423) 886-3649
(423) 886-2726
Mailing address
1408 JAMES BLVD, SIGNAL MOUNTAIN, TN 37377-2630
(423) 886-3649
(423) 886-2726
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS8255
TN
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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